Mary M. O'Connor, Dds, Inc in San Diego - Pediatric Dentistry
Mary M. O'Connor, Dds, Inc - NPI 1700070646
Mary M. O'Connor, Dds, Inc is a Pediatric Dentistry in San Diego, California. Mary M. O'Connor, Dds, Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mary M. O'Connor, Dds, Inc is 1700070646. The last update date is 2007-09-04.
Mary M. O'Connor, Dds, Inc's current location address is 420 Spruce St Ste A, San Diego, California. You can contact this provider via phone number 6192915291 and fax number 6192919755. The mailing address for Mary M. O'Connor, Dds, Inc is 420 Spruce St Ste A, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary M. O'Connor, Dds, Inc |
|---|---|
| Address | 420 Spruce St Ste A, San Diego, California |
| Phone Number | 6192915291 |
| Fax Number | 6192919755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | O'Connor Mildred Mary |
| Credentials | D.D.S. |
| Telephone Number | 6192915291 |
NPI Number Detail
| NPI Number | 1700070646 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 420 Spruce St Ste A |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921035859 |
| Phone Number | 6192915291 |
| Fax Number | 6192919755 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 38072 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 514126 | CA | DENTI-CAL |
Post Comment/ Review Below
What is the unique identification code assigned to Mary M. O'Connor, Dds, Inc by the Centers for Medicare & Medicaid Services?
The Mary M. O'Connor, Dds, Inc has been issued the NPI (National Provider Identifier) 1700070646. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary M. O'Connor, Dds, Inc's physical address?
The Mary M. O'Connor, Dds, Inc is physically located at 420 Spruce St Ste A, in the city of San Diego, CA, with the postal code 921035859.
What is the Mary M. O'Connor, Dds, Inc's specialty and taxonomy code?
The Mary M. O'Connor, Dds, Inc's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700070646 to Mary M. O'Connor, Dds, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1700070646 to Mary M. O'Connor, Dds, Inc on 2007-09-04.
When was the information regarding Mary M. O'Connor, Dds, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary M. O'Connor, Dds, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-04.